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Contact Information

PHILIP C. MARIN, MD PROF LLC
650 DITTMER AVE
PUEBLO, CO81005-1212
 Phone: 719-565-1000
 Fax: 719-565-1111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PHILIP C. MARIN, MD PROF LLC

NPI # 1497934558
LBN Legal business name PHILIP C. MARIN, MD PROF LLC
Authorized official PHILIP MARIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2007
Last updated 10/25/2007 - About 19 years ago
Identifiers
CO License # 40500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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